Page 1 of 93
TIMBY'S INTRODUCTORY MEDICAL-SURGICAL NURSING
QUESTIONS WITH VERIFIED ANSWERS DETAILED RATIONALES
GRADED A+
TIMBY'S INTRODUCTORY MEDICAL-SURGICAL NURSING, 13TH EDITION
UNIT 1: NURSING ROLES AND RESPONSIBILITIES
Chapters 1-6 (Questions 1-30)
Question 1
A nurse is reviewing levels of healthcare. Which level of care focuses on health
promotion and disease prevention?
A) Primary care
B) Secondary care
C) Tertiary care
D) Restorative care
Answer: A
Rationale: Primary care focuses on health promotion and disease prevention, including
routine screenings, immunizations, and health education. Secondary care involves
diagnosis and treatment of acute illness, and tertiary care involves specialized, complex
care for chronic or life-threatening conditions.
,Page 2 of 93
Question 2
Which nursing action best exemplifies primary prevention?
A) Teaching a patient with diabetes how to monitor blood glucose levels
B) Administering influenza vaccines to healthy older adults at a community clinic
C) Referring a patient with hypertension to a cardiologist
D) Providing wound care to a patient with a diabetic foot ulcer
Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs. Administering
vaccines to healthy individuals is a classic example. Teaching disease management is
tertiary prevention, referral is secondary prevention, and wound care is tertiary
prevention.
Question 3
The LPN/LVN is caring for a patient who is uninsured and lacks transportation to
follow-up appointments. Which action best demonstrates advocacy for this
patient?
A) Documenting the patient's concerns in the medical record
B) Notifying the social worker to assist with transportation and community resources
C) Instructing the patient to find a ride with a family member
D) Rescheduling the appointment for a later date
Answer: B
Rationale: Advocacy involves speaking or acting on behalf of the patient to ensure their
needs are met. Notifying the social worker to connect the patient with resources
,Page 3 of 93
addresses the underlying barriers to care. Documentation alone does not solve the
problem.
Question 4
A nurse is providing care based on Maslow's Hierarchy of Needs. Which client
action should the nurse address first?
A) A client expressing feelings of loneliness
B) A client with an oxygen saturation of 88%
C) A client worried about paying hospital bills
D) A client requesting spiritual care
Answer: B
Rationale: According to Maslow's Hierarchy, physiological needs (oxygenation) take
priority over safety, love/belonging, esteem, and self-actualization needs. An oxygen
saturation of 88% indicates hypoxemia and requires immediate intervention.
Question 5
The nurse is reviewing the Healthy People 2030 initiative with a group of nursing
students. Which statement accurately describes the primary focus of this initiative?
A) Reducing the cost of health care for all Americans
B) Eliminating health disparities and improving the health of all Americans
C) Ensuring that all Americans have health insurance coverage
D) Increasing the number of hospitals in underserved areas
Answer: B
Rationale: Healthy People 2030 is a national initiative with overarching goals to
, Page 4 of 93
eliminate health disparities, achieve health equity, and improve the health and well-
being of all Americans.
Question 6
A patient tells the nurse, "I don't understand why I need to take this medication
every day." Which response by the nurse best demonstrates the role of a patient
educator?
A) "The doctor prescribed it, so you should take it as ordered."
B) "Let me explain how this medication works and why it's important for your condition."
C) "I'll ask the pharmacist to come talk to you about it."
D) "You can look up the medication information online."
Answer: B
Rationale: The nurse's role as an educator includes providing clear, understandable
explanations to promote patient understanding and adherence. Option A dismisses the
patient's concern, C delegates the teaching, and D does not provide immediate
education.
Question 7
During the admission process, a client states, "I am allergic to strawberries." How
should the nurse document this information?
A) In the nursing care plan under "Client Goals."
B) In the medication administration record (MAR).
C) In the progress notes as a subjective complaint.
D) In the allergy section of the client's record and on an allergy armband.
TIMBY'S INTRODUCTORY MEDICAL-SURGICAL NURSING
QUESTIONS WITH VERIFIED ANSWERS DETAILED RATIONALES
GRADED A+
TIMBY'S INTRODUCTORY MEDICAL-SURGICAL NURSING, 13TH EDITION
UNIT 1: NURSING ROLES AND RESPONSIBILITIES
Chapters 1-6 (Questions 1-30)
Question 1
A nurse is reviewing levels of healthcare. Which level of care focuses on health
promotion and disease prevention?
A) Primary care
B) Secondary care
C) Tertiary care
D) Restorative care
Answer: A
Rationale: Primary care focuses on health promotion and disease prevention, including
routine screenings, immunizations, and health education. Secondary care involves
diagnosis and treatment of acute illness, and tertiary care involves specialized, complex
care for chronic or life-threatening conditions.
,Page 2 of 93
Question 2
Which nursing action best exemplifies primary prevention?
A) Teaching a patient with diabetes how to monitor blood glucose levels
B) Administering influenza vaccines to healthy older adults at a community clinic
C) Referring a patient with hypertension to a cardiologist
D) Providing wound care to a patient with a diabetic foot ulcer
Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs. Administering
vaccines to healthy individuals is a classic example. Teaching disease management is
tertiary prevention, referral is secondary prevention, and wound care is tertiary
prevention.
Question 3
The LPN/LVN is caring for a patient who is uninsured and lacks transportation to
follow-up appointments. Which action best demonstrates advocacy for this
patient?
A) Documenting the patient's concerns in the medical record
B) Notifying the social worker to assist with transportation and community resources
C) Instructing the patient to find a ride with a family member
D) Rescheduling the appointment for a later date
Answer: B
Rationale: Advocacy involves speaking or acting on behalf of the patient to ensure their
needs are met. Notifying the social worker to connect the patient with resources
,Page 3 of 93
addresses the underlying barriers to care. Documentation alone does not solve the
problem.
Question 4
A nurse is providing care based on Maslow's Hierarchy of Needs. Which client
action should the nurse address first?
A) A client expressing feelings of loneliness
B) A client with an oxygen saturation of 88%
C) A client worried about paying hospital bills
D) A client requesting spiritual care
Answer: B
Rationale: According to Maslow's Hierarchy, physiological needs (oxygenation) take
priority over safety, love/belonging, esteem, and self-actualization needs. An oxygen
saturation of 88% indicates hypoxemia and requires immediate intervention.
Question 5
The nurse is reviewing the Healthy People 2030 initiative with a group of nursing
students. Which statement accurately describes the primary focus of this initiative?
A) Reducing the cost of health care for all Americans
B) Eliminating health disparities and improving the health of all Americans
C) Ensuring that all Americans have health insurance coverage
D) Increasing the number of hospitals in underserved areas
Answer: B
Rationale: Healthy People 2030 is a national initiative with overarching goals to
, Page 4 of 93
eliminate health disparities, achieve health equity, and improve the health and well-
being of all Americans.
Question 6
A patient tells the nurse, "I don't understand why I need to take this medication
every day." Which response by the nurse best demonstrates the role of a patient
educator?
A) "The doctor prescribed it, so you should take it as ordered."
B) "Let me explain how this medication works and why it's important for your condition."
C) "I'll ask the pharmacist to come talk to you about it."
D) "You can look up the medication information online."
Answer: B
Rationale: The nurse's role as an educator includes providing clear, understandable
explanations to promote patient understanding and adherence. Option A dismisses the
patient's concern, C delegates the teaching, and D does not provide immediate
education.
Question 7
During the admission process, a client states, "I am allergic to strawberries." How
should the nurse document this information?
A) In the nursing care plan under "Client Goals."
B) In the medication administration record (MAR).
C) In the progress notes as a subjective complaint.
D) In the allergy section of the client's record and on an allergy armband.
